Three Part Question

IN [adults with Hypertension] IS [Upper Cervical Manipulation] effective in [lowering blood pressure].

Clinical Scenario

A 55 yr old male presents with a 10 year history of hypertension. The patient has been taking a combination of Lisinopril and Hydrochlorithiazide for the past 5 years. The patient has heard that chiropractic manipulation may have a lowering effect on blood pressure and would like to know if there is any evidence to support this.

Search Outcome

3 Papers were identified all of which were randomized controlled trials. The article by Bakris G. et.al. was chosen because it addressed chiropractic manipulation of the upper cervical spine and its effect on blood pressure.